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患者男,62岁。1个月前无明显诱因出现右上腹胀痛,行腹部超声发现肝内占位。既往无肝炎及其密切接触史。实验室检查:CEA 4.86 ng/ml,AFP 3.28 ng/ml,CA19-95.69 k U/L,均在正常范围。上腹部MRI可见肝脏S4、8交界处片状长T1、长T2信号,范围约4.3 cm×3.2 cm,边缘模糊,DWI略呈高信号,增强后病变周边肝组织呈片状持续强化,病变呈不规则边缘持续强化,内部未见明显强化(图1~3)。影像诊断为肝脓肿,
Male patient, 62 years old. 1 month ago no obvious incentive to appear right upper quadrant pain, abdominal ultrasound found intrahepatic space. No previous history of hepatitis and close contact. Laboratory tests: CEA 4.86 ng / ml, AFP 3.28 ng / ml, CA19-95.69 kU / L, are in the normal range. Upper abdomen MRI showed patchy long T1 and long T2 signals at the junction of liver S4 and 8, with a margin of about 4.3 cm × 3.2 cm. The edge was blurred and DWI was slightly elevated. After the lesion, the surrounding liver tissue showed flaky continuous enhancement. Irregular edges continued to strengthen, no significant internal enhancement (Figure 1 ~ 3). Imaging diagnosis of liver abscess,